Social Security Tribunal of Canada

Application to the Appeal Division : Employment Insurance

 

Fill out, sign, and submit this application to the Appeal Division if you want to:

  • apply for leave (permission) to appeal a General Division decision. We must receive your application within 30 days from the date you received the General Division decision.

    OR
  • appeal a General Division summary dismissal decision.

You must provide all the information below. The Social Security Tribunal Regulations require this.

We will share any documents you give us with any other parties to your appeal.

We publish many Tribunal decisions online so that people can understand how the Tribunal works. If we publish the decision in your appeal, we will first remove any information that reveals your identity.

We understand that parties may have privacy concerns. We try to respect those concerns. At the same time, the law requires us to be open about the Tribunal’s work. Learn more about how we balance open justice and privacy by reading our open justice and privacy statement (opens in new window).

If you have questions on how to fill out this form, call our toll-free line from Canada or the United States at 1‑877‑227‑8577 (TTY: 1‑866‑873‑8381) or call collect from outside Canada or the United States at 1‑613‑437‑1640 (TTY: 1‑613‑948‑8181), Monday–Friday between 7 a.m. and 7 p.m. Eastern Time.

1. The decision you want to appeal

or

2. Applicant / contact person information

The applicant is (please select only one)

2A. Individual

2B. Employer

3. Contact information

4. Accessibility (alternate arrangements)

Please tell us if you need any alternate arrangements for your appeal. We want to ensure that everyone can participate in our proceedings on an equal basis.

To request accommodation for a particular need, please contact us by phone, email, fax, or mail. All our contact information is at the end of this form.

Visit our website for more information on our accommodation and accessibility policy page (opens in new window).

5. Reason(s) for your appeal

An appeal to the Appeal Division is different from an appeal to the General Division. In most cases, you must first get permission to appeal to the Appeal Division. If you are allowed to proceed with your appeal, the Appeal Division will need to decide whether an error was made at the General Division and, if so, what should be done about it.

Parties (including you) generally can’t submit new evidence to the Appeal Division. The Appeal Division considers the evidence that the General Division had when it made its decision. Evidence refers to oral testimony as well as documents (such as letters, medical reports, and written statements).

Explain in detail why you are appealing the decision of the General Division. Only the following reasons can be considered under the law:
For example, the General Division relied on a document, but you didn’t have a chance to see or comment on that document.
For example, the General Division didn’t decide something it had to decide, or it decided something it didn’t have the power to decide.
For example, the General Division relied on the wrong section of the applicable law.
For example, the General Division found that you had stopped working for personal reasons without considering the reports that said that you had stopped working because you were sick.

6. Hearing

If permission to appeal is granted, the Appeal Division member (decision-maker for your appeal) will decide if there will be a hearing and the kind of hearing. At the hearing, the Appeal Division member will listen to your arguments about the appeal. Appeal Division hearings generally don’t include witnesses or testimony.

Please indicate your preferred kind of hearing:
(Call from a location convenient to you such as your home or your representative’s office.)
(You will travel to a Service Canada Centre near you and participate using their videoconference system. The Tribunal member will join from a different location.)
(Connect to the videoconference from a location convenient to you such as your home or your representative’s office. The Tribunal member will join from a different location. This option requires a high-speed internet connection. We will contact you to ensure this option will work for you.)
(Your hearing will take place at a Service Canada Centre near you. The Tribunal member will be in the same room as you.)

7. Language

(The Tribunal will get an interpreter for you.)

8. Late application for permission to appeal (if applicable)

We must receive this completed application within 30 days from the date you received your General Division decision (other than a summary dismissal decision). If we receive your application after the 30 days, you must explain why it is late. The Appeal Division member will then decide whether your application can go forward. Note that we can’t accept an application filed more than one year from the date you received your General Division decision.

The Appeal Division member will consider:
  • Whether you have a reasonable explanation for why your application is late (you may include supporting documents)
  • What steps you took that show that you always intended to apply (you may include supporting documents)
  • Whether extending the time for filing your application would be unfair to the other party/parties
  • Whether your appeal has a reasonable chance of success
  • Any other reason why the Appeal Division should allow your application to be filed late

9. Representative information

You don’t need a representative. If you choose to have a representative, you are responsible for any costs.

I am represented by
If you have a new representative, please indicate which category of representative and fill out their information below.
Representative Name
I have confirmed with my representative that they want the Tribunal to send them correspondence and documents by email.

10. Declaration and signature of applicant

I declare that, to the best of my knowledge, all the information I provided as part of my application is true.

If you have a representative:
I authorize the Tribunal to share any information about my application with my representative. I understand that the Tribunal will normally communicate only with my representative and that I will personally receive information only about my hearing and the final decision.

How to submit this application

Fill out, sign, and send us one copy of this form by email, fax, or mail. Keep all your original documents.

Email:
info.sst-tss@canada.gc.ca

Fax:
1‑855‑814‑4117 (toll-free in Canada and the United States)
1‑613‑941‑5121 (long distance charges may apply)

Mail:
Social Security Tribunal of Canada
PO Box 9812
Station T
Ottawa ON  K1G 6S3

Questions?

Email us at info.sst-tss@canada.gc.ca or call our toll-free line from Canada or the United States at 1‑877‑227‑8577 ( TTY : 1‑866‑873‑8381).

You can also call collect from outside Canada or the United States at 1‑613‑437‑1640 ( TTY : 1‑613‑948‑8181).

Social Security Tribunal website (opens in new window)

Tips

  • Email is the fastest way to send us information.
  • You must tell us if your contact information changes. If we can’t reach you, we may proceed in your absence.
  • Keep all letters and documents the Tribunal sends you. They are numbered for easy reference. If a hearing is held, you will need these documents at your hearing.
  • If you change your representative, tell us right away.
  • Everything you send us must be in either English or French: Information about translation (opens in new window).
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